Individual
MARY LYNN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 ARBOR RIDGE RD, RIDGELAND, MS 39157-9703
(601) 572-6159
Mailing address
120 ARBOR RIDGE RD, RIDGELAND, MS 39157-9703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5564
MS
Other
Enumeration date
10/06/2016
Last updated
01/21/2024
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